Mr Armey, 69, predicted that the “grassroots” backlash against what he called Mr Obama’s “hostile government takeover of a sixth of the US economy” would cause the reform to fail spectacularly. But he predicted that supporters of reform would attempt to win over the “bed-wetters caucus” – a group of wavering lawmakers who spanned both parties, he said – with a fear campaign in the autumn.

“In September or October there will be a hyped up outbreak of the swine flu which they’ll say is as bad as the bubonic plague to scare the bed-wetters to vote for healthcare reform,” said Mr Armey. “That is the only way they can push something on to the American people that the American people don’t want.”

Armey also told the FT that FreedomWorks does not “recommend” that conservatives disrupt town halls, but the organization’s president has encouraged activists to be “aggressive” while their vice president has refused to try to “calm down” the angry protesters.

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